I got this email from my doc today:We have a patient that we have a financial hardship agreement signed with, 20.00 per adjustment. Can we bill the insurance for that reduced rate of 20.00 as long as that is what the patient is paying and is there a mod that we can/need to put on the code that shows it is a reduced rate and not our usual and customary rate?I don't have any experience billing insurance companies reduced rates and I am wondering if we would use the -52 modifier? Technically, we aren't reducing services, but only the fee, but I can't seem to find another modifier or if I need to use one at all. I just wanted to have some kind of paper trail so it doesn't look like we are billing different insurances differnent fees.Thanks!
Also, I think I would have to send these claims paper? Our software doesn't have any way to input a patient payment/adjustment on the claim. Should I attached the hardship documentation or just leave it be until it is asked for?
Seriously? How do you enter patient payments, or adjustments? I have an adjustment code I use, the adjustment/payment/discount amount will show in box 29. In an older software I had, I would have to mark the claim "paid" by primary carrier, place the adjustment/discount and then put the claim status back to unbilled so that it would go out. Now I can enter adjustments before and after..thankfully.